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Organization
PALM VALLEY FAMILY DENTISTRY, P.A.
Active
Organization
PALM VALLEY FAMILY DENTISTRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JAMES YODER DDS (PRESIDENT)
(904) 673-5869
Entity
Organization
Contact information
Practice address
3791 PALM VALLEY RD, SUITE 205, PONTE VEDRA BEACH, FL 32082-4182
(904) 834-2736
(904) 834-2737
Mailing address
3791 PALM VALLEY RD, SUITE 205, PONTE VEDRA BEACH, FL 32082-4182
(904) 834-2736
(904) 834-2737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19044
FL
Other
Enumeration date
08/11/2013
Last updated
08/15/2013
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